Title |
Thoracic Aorta Aneurysm Repair in a Patient with a Solitary Kidney: Hybrid Surgery as a Bailout Procedure
|
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Published in |
Frontiers in Surgery, November 2016
|
DOI | 10.3389/fsurg.2016.00062 |
Pubmed ID | |
Authors |
Chris Bakoyiannis, Demetrios Moris, George Karaolanis, Nikolaos Patelis, Dimitrios Schizas, Sotirios Georgopoulos, Theodoros Liakakos |
Abstract |
Thoracic endovascular aortic repair (TEVAR) is an emerging treatment option for thoracic aorta aneurysms (TAA). Endovascular access is a challenge. We present a novel TEVAR technique in a patient with single kidney and a 6.4 cm TAA. Attempting to place a sheath through iliac arteries was unsuccessful. The decision to proceed to hybrid TEVAR was made. The protection of the solitary kidney was achieved through axillo-femoral bypass, followed by an end-to-side anastomosis between the aorta and a bifurcated graft. Through the graft, a stent was introduced in the thoracic aorta. With the use of contrast material, the right position of the graft was confirmed. |
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Switzerland | 1 | 100% |
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Members of the public | 1 | 100% |
Mendeley readers
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Unknown | 5 | 100% |
Demographic breakdown
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Student > Ph. D. Student | 1 | 20% |
Other | 1 | 20% |
Student > Doctoral Student | 1 | 20% |
Unknown | 2 | 40% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 3 | 60% |
Engineering | 1 | 20% |
Unknown | 1 | 20% |